Table 5.
Sustained weight gain |
Sustained weight loss |
Stable weight |
|||||||
---|---|---|---|---|---|---|---|---|---|
Outcomes | HR | 95% CI | P-value | HR | 95% CI | P-value | HR | 95% CI | P-value |
All-cause mortality | 1.000 | 0.896–1.115 | 0.996 | 1.315 | 1.182–1.463 | <0.0001 | 0.824 | 0.751–0.904 | <0.0001 |
CV mortality | 1.109 | 0.968–1.272 | 0.136 | 1.175 | 1.020–1.353 | 0.025 | 0.828 | 0.734–0.933 | 0.0019 |
Primary composite endpointa | 1.040 | 0.939–1.152 | 0.453 | 1.049 | 0.942–1.168 | 0.385 | 0.940 | 0.859–1.028 | 0.172 |
Secondary composite endpointb | 0.983 | 0.909–1.064 | 0.676 | 1.122 | 1.036–1.216 | 0.0046 | 0.933 | 0.871–0.999 | 0.0460 |
Total stroke | 1.036 | 0.864–1.243 | 0.699 | 0.918 | 0.754–1.119 | 0.397 | 1.030 | 0.878–1.208 | 0.717 |
Non-fatal stroke | 0.983 | 0.804–1.202 | 0.868 | 0.876 | 0.704–1.090 | 0.235 | 1.106 | 0.928–1.318 | 0.259 |
Total MI | 0.945 | 0.787–1.134 | 0.543 | 1.005 | 0.832–1.214 | 0.958 | 1.040 | 0.888–1.217 | 0.626 |
Non-fatal MI | 0.904 | 0.745–1.096 | 0.304 | 1.014 | 0.832–1.236 | 0.892 | 1.068 | 0.906–1.260 | 0.432 |
Revascularization | 0.944 | 0.845–1.054 | 0.304 | 1.195 | 1.070–1.335 | 0.0017 | 0.919 | 0.834–1.012 | 0.0858 |
HF hospitalization | 1.024 | 0.853–1.228 | 0.801 | 1.196 | 0.995–1.437 | 0.0563 | 0.865 | 0.748–1.013 | 0.0725 |
Weight gain, weight loss, and stable weight were treated as time varying covariables in multivariable adjusted models (Cox regression model adjusted for age, sex, ever smoker, previous cardiovascular event, previous diabetes, LDL, HbA1c, eGFR, allocation to glargine, and allocation to omega 3 fatty acid.). HR’s compare the category vs. all subjects outside the category.
Primary composite endpoint: composite of first occurrence of cardiovascular death, non-fatal myocardial infarction, or non-fatal stroke.
Expanded composite endpoint: composite of first occurrence of these three outcomes or revascularization or heart failure hospitalization.